Results of Tibial Lengthening with the Ilizarov Technique
SUMMARYBetween June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thi...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1996-03, Vol.16 (2), p.168-172 |
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| creator | Stanitski, Deborah F Shahcheraghi, Hossain Nicker, David A Armstrong, Peter F |
| description | SUMMARYBetween June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required. |
| doi_str_mv | 10.1097/00004694-199603000-00006 |
| format | Article |
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Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-199603000-00006</identifier><identifier>PMID: 8742278</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Humans ; Ilizarov Technique ; Leg Length Inequality - diagnostic imaging ; Leg Length Inequality - surgery ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Postoperative Complications - epidemiology ; Postoperative Complications - psychology ; Postoperative Complications - surgery ; Radiography ; Retrospective Studies ; Tibia - diagnostic imaging ; Tibia - surgery ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 1996-03, Vol.16 (2), p.168-172</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2606-464a23eb688a5017a9a2026283a7c319696f46981b9d1d779f60dd8988dd5eaf3</citedby><cites>FETCH-LOGICAL-c2606-464a23eb688a5017a9a2026283a7c319696f46981b9d1d779f60dd8988dd5eaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2994048$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8742278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stanitski, Deborah F</creatorcontrib><creatorcontrib>Shahcheraghi, Hossain</creatorcontrib><creatorcontrib>Nicker, David A</creatorcontrib><creatorcontrib>Armstrong, Peter F</creatorcontrib><title>Results of Tibial Lengthening with the Ilizarov Technique</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>SUMMARYBetween June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ilizarov Technique</subject><subject>Leg Length Inequality - diagnostic imaging</subject><subject>Leg Length Inequality - surgery</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - psychology</subject><subject>Postoperative Complications - surgery</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctOwzAQRS0EKqXwCUheIHYBv-LHElU8KlVCQmVtOYnTGNyk2AkVfD0uLV3gzWhmzszVXAMAMbrBSIlblB7jimVYKY5oyrJtiR-BMc6pykgu0DEYIyJwxoWSp-AsxjeEsKCMjsBICkaIkGOgXmwcfB9hV8OFK5zxcG7bZd_Y1rVLuHF9A1MCZ959m9B9woUtm9Z9DPYcnNTGR3uxjxPw-nC_mD5l8-fH2fRunpWEI54xzgyhtuBSmjzpG2UIIpxIakRJseKK1-kSiQtV4UoIVXNUVVJJWVW5NTWdgOvd3nXokmzs9crF0npvWtsNUQtJBKeEJFDuwDJ0MQZb63VwKxO-NEZ665r-c00fXPst8TR6udcYipWtDoN7m1L_at83sTS-DqYtXTxgRCmG2BZjO2zT-d6G-O6HjQ26scb3jUaYMEyV_P9n9AcNDoI8</recordid><startdate>199603</startdate><enddate>199603</enddate><creator>Stanitski, Deborah F</creator><creator>Shahcheraghi, Hossain</creator><creator>Nicker, David A</creator><creator>Armstrong, Peter F</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199603</creationdate><title>Results of Tibial Lengthening with the Ilizarov Technique</title><author>Stanitski, Deborah F ; Shahcheraghi, Hossain ; Nicker, David A ; Armstrong, Peter F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2606-464a23eb688a5017a9a2026283a7c319696f46981b9d1d779f60dd8988dd5eaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ilizarov Technique</topic><topic>Leg Length Inequality - diagnostic imaging</topic><topic>Leg Length Inequality - surgery</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - psychology</topic><topic>Postoperative Complications - surgery</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stanitski, Deborah F</creatorcontrib><creatorcontrib>Shahcheraghi, Hossain</creatorcontrib><creatorcontrib>Nicker, David A</creatorcontrib><creatorcontrib>Armstrong, Peter F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stanitski, Deborah F</au><au>Shahcheraghi, Hossain</au><au>Nicker, David A</au><au>Armstrong, Peter F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of Tibial Lengthening with the Ilizarov Technique</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1996-03</date><risdate>1996</risdate><volume>16</volume><issue>2</issue><spage>168</spage><epage>172</epage><pages>168-172</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>SUMMARYBetween June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8742278</pmid><doi>10.1097/00004694-199603000-00006</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Biological and medical sciences Child Child, Preschool Diseases of the osteoarticular system Female Follow-Up Studies Humans Ilizarov Technique Leg Length Inequality - diagnostic imaging Leg Length Inequality - surgery Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Postoperative Complications - epidemiology Postoperative Complications - psychology Postoperative Complications - surgery Radiography Retrospective Studies Tibia - diagnostic imaging Tibia - surgery Time Factors Treatment Outcome |
| title | Results of Tibial Lengthening with the Ilizarov Technique |
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